John Wilson SR.

NPI #1871164145 in Martinez, Georgia

Provider Information

NPI Number: 1871164145
Entity Type: Individual
Name: John Wilson SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2021
Last Updated: Apr 5, 2023

Practice Location

Address: 4059 COLUMBIA RD
City: Martinez
State: Georgia
ZIP Code: 30907-2221
Phone: (706) 863-9445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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